Phase I and pharmacokinetic study of photodynamic therapy for high-grade gliomas using a novel boronated porphyrin.

Phase I and pharmacokinetic study of photodynamic therapy for high-grade gliomas using a novel boronated porphyrin.
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使用新型硼化卟啉光动力疗法治疗高级神经胶质瘤的 I 期和药代动力学研究。

DOI:
10.1200/jco.2001.19.2.519
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发表时间:
2001
期刊:
Journal of clinical oncology : official journal of the American Society of Clinical Oncology
影响因子:
--
通讯作者:
A. Kaye
A. Kaye
中科院分区:
--
文献类型:
--
作者:
M. Rosenthal;B. Kavar;J. Hill;D. Morgan;R. Nation;S. Stylli;R. Basser;S. Uren;H. Geldard;Michael D. Green;S. Kahl;A. Kaye

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目的 确定用于颅内肿瘤光动力疗法 (PDT) 的新型硼化卟啉 (BOPP) 的推荐剂量、毒性特征和药代动力学。 患者和方法 对于接受术后 PDT 的颅内肿瘤患者,术前单独给予 BOPP,剂量逐渐增加(0.25、0.5、1.0、2.0、4.0 或 8.0 mg/kg),直至观察到剂量限制性毒性(DLT)。 结果 29 名可评估的颅内肿瘤患者在手术前 24 小时接受了 BOPP 静脉注射。推荐剂量为4毫克/公斤。剂量递增受到血小板减少症的限制。最常见的非血液毒性是皮肤光敏性。药代动力学参数显示,随着剂量的增加,血浆浓度-时间曲线下面积和最大浓度增加。肿瘤 BOPP 浓度也随着剂量的增加而增加。 结论 4 mg/kg 剂量的 BOPP 耐受性良好。 DLT 是血小板减少症,光敏性是唯一值得注意的其他毒性。使用 BOPP 进行 PDT 的疗效需要进一步探索。
PURPOSE To determine the recommended dose, toxicity profile, and pharmacokinetics of a novel boronated porphyrin (BOPP) for photodynamic therapy (PDT) of intracranial tumors. PATIENTS AND METHODS BOPP was administered alone in increasing doses (0.25, 0.5, 1.0, 2.0, 4.0, or 8.0 mg/kg) preoperatively in patients with intracranial tumors undergoing postresection PDT until dose-limiting toxicity (DLT) was observed. RESULTS Twenty-nine assessable patients with intracranial tumors received BOPP intravenously 24 hours before surgery. The recommended dose was 4 mg/kg. Dose escalation was limited by thrombocytopenia. The most common nonhematologic toxicity was skin photosensitivity. Pharmacokinetic parameters showed increased area under the plasma concentration-time curve and maximum concentration with increased dose. Tumor BOPP concentrations also increased with increased dose. CONCLUSION BOPP at a dose of 4 mg/kg was well tolerated. DLT was thrombocytopenia, and photosensitivity was the only other toxicity of note. The efficacy of PDT using BOPP requires further exploration.
DOI: 10.1073/pnas.92.26.12126
发表时间: 1995-12-19
影响因子: 11.1
作者:
Hill, JS;Kahl, SB;Kaye, AH
通讯作者: Kaye, AH
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DOI: 10.1073/pnas.87.18.7265
发表时间: 1990
影响因子: 11.1
作者:
Kahl,SB;Joel,DD;Nawrocky,MM;Micca,PL;Tran,KP;Finkel,GC;Slatkin,DN
通讯作者: Slatkin,DN